J Korean Acad Prosthodont.  2011 Oct;49(4):283-290. 10.4047/jkap.2011.49.4.283.

Clinical evaluation of implant retained overdentures using two implant and Locator attachments in the fully edentulous mandibles

• Lee JH
• Sohn DS

• KMID: 2195522
• DOI: http://doi.org/10.4047/jkap.2011.49.4.283

Abstract

PURPOSE
This study compared the marginal bone loss around dental implant that were placed in the canine areas of the mandibles and finded the survival rate of implants, marginal bone loss around implants and prosthetic complications in 10 patients treated with overdentures retained with Locator attachments.
MATERIALS AND METHODS
Ten patients who had received implant retained overdentures in the mandibules using two implants and Locator attachments at Daegu Catholic University Medical Center from 2004 to 2010 were included in this study. Evaluations of the survival rate of implants, marginal bone loss and prosthetic complications were performed.
RESULTS
Implants placed in this study showed a 100% survival rate and the average annual bone loss was 1.03 mm +/- 0.20 mm in the first year. The patients have verbally indicated that they are comfortable and that their overdentures function well. But, implant retained overdentures had various prosthetic complications such as male change, relining, rebasing and denture fracture.
CONCLUSION
Implant retained overdentures using two implant and Locator attachments in the fully edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.

Keyword

Mandible; Implant retained overdenture; Locator attachment; Marginal bone loss around implant; Prosthetic complication

MeSH Terms

Academic Medical Centers
Dental Implants
Denture, Overlay
Dentures
Humans
Male
Mandible
Survival Rate
Dental Implants

Figure

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  Fig. 1. Two implants were placed in anterior mandible. 4 mini implants were placed simultaneously for immediate loading. Note bone defect around at the #43 implant.

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  Fig. 2. Mineral allograft was grafted in the bone defect and collagen membrane was covered over the bone.

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  Fig. 3. Postoperative panoramic radiogram.

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  Fig. 4. A: Fixed provisional restoration was delivered after the stitch-out, B: Lacator attachment was seated on the implant with torque of 30 Ncm after 8 months healing period. Mini implants were removed out when final denture was delivered.

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  Fig. 5. A: Periapical radiograms after delivery of final denture, B: Periapical radiograms after 6.5 years show minimal bone loss around implants.

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  Fig. 6. References used to measure actual marginal bone loss. a: The distance from top level of implant platform to implant apex. b: The distance from top level of implant platform to marginal bone contact level.

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